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An Exploratory Mixed Method Study of  Gender and Sexual Minority Health in Dallas: A Needs Assessment (open access)

An Exploratory Mixed Method Study of Gender and Sexual Minority Health in Dallas: A Needs Assessment

Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.
Date: August 2018
Creator: Bonds, Stacy
System: The UNT Digital Library
Impact of Stress Inoculation on Performance Efficacy Linked to Instrumental Activities of Daily Living (open access)

Impact of Stress Inoculation on Performance Efficacy Linked to Instrumental Activities of Daily Living

Utilizing a sample of community-residing older adults, this pretest-posttest design evaluated the short term (approximately 1 week) impact on everyday functioning of Stress Inoculation (SI) training, a cognitive-behavioral intervention that is essentially a coping skills enhancement program. The targets of training were anxiety and concern about being able to successfully perform everyday living tasks. The training program was contrasted with a no contact (waiting list) control. In an effort to maximize the practical aspects of this study, the assessment battery included the use of two ecologically valid measures of everyday problem solving skills (one self-rated and one interviewer-rated). Also included were a measure of everyday intelligence widely used in gerontological research, two measures of self-efficacy, a geriatric depression scale, a state-trait anxiety scale, and a self-report measure of failures in perception, memory, and motor function. The results suggest that Stress Inoculation training is an effective intervention for improving everyday competence but that personal perceptions of self-efficacy and the emotional states of anxiety and depression mediate treatment effects. In general, only persons with lower levels of self-efficacy and higher levels of anxiety and/or depression saw improvement in their cognitive performance following SI training.
Date: August 1999
Creator: Galt, Cynthia P.
System: The UNT Digital Library
Rational Behavior Therapy in a Retirement Community (open access)

Rational Behavior Therapy in a Retirement Community

The objectives of this investigation were to develop, implement, and determine the effects of rational behavior therapy for residents in a retirement community. The question addressed was, "Will rational behavior therapy, relative to a discussion group and control group, exhibit significant changes in level of rational thinking and depression?" Drawing upon a cognitive theory of depression relevant to the aged population and upon rational behavior therapy literature, it was hypothesized that short-term rational behavior therapy intervention would be significantly related to a modification of belief systems and a decrease in depression. The participants were residents of two retirement communities. There were 25 subjects who completed the study through posttest assessment. These subjects were randomly assigned to three groups and assessed at pretest, posttest, and follow-up. The experimental group did not experience the hypothesized significant increase in level of rational thinking and decrease in level of depression. Possible explanations are given for lack of expected effects. Overall, the discussion group had more significant increases in rational thinking than the experimental and control groups.
Date: May 1982
Creator: Caraway, Marsha Lynn
System: The UNT Digital Library